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Permit CITY OF TIGARD ELECTRICAL PERMIT � �� ,%1 DEVELOPMENT SERVICES PERMIT #: ELC98 -0502 li� 13125SW Hall Blvd ., Tigard, OR97223(503)639.4171 DATE ISSUED: 08/24/98 PARCEL: 1S135DD- 03301 SITE ADDRESS... :11945 SW PACIFIC HWY #228 SUBDIVISION :HOFFARBER TRACTS ND.1 ZONING:C —G BLOCK • LOT -002 JURISDICTION: TIG Pro .j ect Description : Installation one branch circuit for rooftop HVAC unit. - -- RESIDENTIAL UN IT - - -- -- -TEMP SRVC /FEEDERS - - -- MI SCELLANEOUS 1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0 EACH ADD'L 500SF...: 0 201 — 400 amp • 0 SIGN /OUT LINE LTG..: 0 LIMITED ENERGY : 0 401 — 600 amp • 0 SIGNAL /PANEL • 0 MANF. HM/ SVC /FDR..: 0 601 +amps -1000 volts.: 0 MINOR LABEL (10)...: 0 - - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS-- - 0 — 200 amp • 0 W /SERVICE OR FEEDER: 0 PER INSPECTION • 0 201 — 400 amp • 0 1st W/0 SRVC OR FDR.: 1 PER HOUR • 0 401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 0 IN PLANT : 0 601 — 1000 amp : 0 PLAN REVIEW SECTION 1000+ amp /volt • 0 > =4 RES UNITS • > 600 VOLT NOMINAL..: Reconnect only • 0 SVC /FDR >= 225 AMPS..: CLASS AREA /SPEC OCC.: Owner: FEES FIREPLACES & MORE type amount by date recpt 11945 SW PACIFIC HWY PRMT $ 35.00 DEB 08/24/98 98- 308528 STE 228 5PCT $ 1.75 DEB 08/24/98 98- 308528 TIGARD OR 97223 Phone #: Contractor: CHRISTENSON ELECTRIC INC $ 36.75 TOTAL 111 SW COLUMBIA STE 480 REQUIRED INSPECTIONS PORTLAND OR 97201 Elect'1 Service Phone #: 241 -4812 Elect'1 Final Reg #..: 000458 This per.it is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This periit will expire if work is not started within 180 days of issuance, or if work is suspended for wore than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 1'R 952 -001 -1987. You way obtain a copy of these rules or direct questions to OUNC by calling (5031246 -1987. Permittee Signature: 1 34,0 Issued •y: A—_—:.f...!:( / . / A. ��L l._.. / • OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: • CONTRACTOR INSTALLATION ONLY p SIGNATURE OF SUP R. ELEC' N : ..�Q 7 .47 DATE : pZ �O LICENSE NO: 8736 ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ CITY\OF TIGARD Electrical Per it Application Plan Chec 13125 SW HALL BLVD. RECEIVED Rec'd By TIGARD OR 97223 �C l ate Recd k -/�/ Phone 639-4171, x304 AUG RUG 1,�. 1998 (503) Date to P.E. ( ) 639 - Date to DST �- C6 40 Inspection (503) 639 -4175 Print or Type Incomplete or illegible will na be' depte "d'ENT Permit # �1�9� Da a' Fax (503) 684 -7297 Called 1. Job Address: 4. Complete Fee Schedule Below: RECONNECT ( 2) ROOF UNITS Name of Development Number of Inspections per permit allowed Name (or name of business) ROTH HEATING Service included: Items Cost Sum I Address 11945 SW PACIFIC HIGHWAY SUITE 228 4a. Residential - per unit VillaiiiAllYr 1000 sq. ft. or less $110.00 4 City /State /Zip TIGARD Each additional 500 sq. ft. or Commercial a Residential 1=1 Limited thereof $25.00 1 Limited Energy $25.00 QUESTIONS? CONTACT STEVE MARL 701 - 8673 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy of all current licenses) 4b. Services or Feeders Electrical Contractor CHRISTENSON ELECTRIC, INC. Installation, alteration, or relocation or Address 111 SW COLUMBIA, SUITE 480 200 amps to less $60.00 2 201 amps to 400 amps $80.00 2 CityPORTLAND State OR Zip 97201 - 5886 401 amps to 600 amps $120.00 2 Phone No. 503 241 - 4812 601 amps to 1000 amps $180.00 2 Job No. 220 - 6492 Over 1000 amps or volts $340.00 2 Reconnect only $50.00 2 Elec. Cont. Lice. No. 96 -14C Exp.Date OR State CCB Reg. No. 00458 Exp.Date 4c. Temporary Services or Feeders COT Business Tax ro No. 5246 Exp.Date Installation, alteration, or relocation 200 amps or less $50.00 2 201 - amps to 400 amps $75.00 2 Signature of Su : .:1 L ..� = g 1 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. 873S Exp.Date see "b" above. Phone No. 503 - 241 -4812 4d. Branch Circuits New, alteration or extension per panel 2b. For owner installations: a) The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. Address Each branch circuit $5.00 2 b) The fee for branch circuits City State Zip without purchase of Phone No. service or feeder fee. First branch circuit 1 $35.00 35 . 2 The installation is being made on property I own which is not Each additional branch circuit $5.00 2 intended for sale, lease or rent. 4e. Miscellaneous (Service or feeder not included) Owner's Signature Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):* Signal circuit(s) or a limited energy panel, alteration or extension $40.00 2 Minor Labels (10) $100.00 Please check appropriate item and enter fee in section 5B. 4 or more residential units in one structure 4f. Each additional Inspection over Service and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.C. Chapter 5 In Plant $55.00 0O * Submit 2 sets of plans with application where any of the above apply. S. Fees: Not required for temporary construction services. 5a. Enter total of above fees $ I 7. '7 i 5% Surcharge (.05 X total fees) $ NOTICE • Subtotal $ 4' 5b. Enter 25% of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $ / IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY 75 TIME AFTER WORK IS COMMENCED. ❑ Trust Account # 26 Total balance Due $ 4.2 I:\DSTS \ELC96.APP Rev 9/96 '\ CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP / G p� �/ at 5- Date Requested -! - 4- ? AM PM BLD Location / /q 75 i<�, `lam Suite MEC Contact Person / / Ph d-4 -S3 PLM Contractor Ph SWR BUILDING Tenant/Owner l f - !7 Pte- G-e ` /� Jsod-- Retaining Wall -I-U ELR Footing Foundation Access: Cast I-- FPS Ftg Drain SGN Crawl Drain Inspection Notes: j CQ. m 7 - Slab Post & Beam //�65C (J — /� 2 3 � Ext Sheath /Shear / , v � Int Sheath /Shear Framing Insulation 9 Drywall Nailing (.. /,r /A/7 �1 R w ASS' Firewall / Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: :/hf-Z-e Final PASS PART FAIL PLUMBING a e Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS FAIL CTRICAL ervice Rough In UG /Slab Low Voltage j ��J J Fire Alarm v •A FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach/Sidewalk Other Date ` ' 7' 9r Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.